Wednesday, October 30, 2019

Interview Essay Example | Topics and Well Written Essays - 1000 words - 1

Interview - Essay Example This paper will discuss the problems experienced by Asian immigrants during their stay in USA. Being an immigrant in the USA, it is very hard to find a job even with good academic qualifications. The country has a culture of prioritizing the Native Americans and hence the immigrants find it hard to find a job. The job market is USA is flooded making many people unemployed. This situation makes it difficult for Asians to find jobs in USA. The expectations of the immigrants are very high due to the country’s economic position but in the end they feel very disappointed (Waters, Mary and Karl 429). Most of the employers will be reluctant to choose an immigrant over an American. The employers have a perception that the Americans are better than the Asian immigrants in all ways. To find a job, the Asians will have to obtain a work permit. Obtaining a work permit is very easy for Americans but very troublesome for the immigrant, the process that the immigrant is required to go through are very complex and most of them give up in the process. There is a lot of scrutinies and the requirements to obtain a permit are high. This is a discouraging factor to immigrant and most of them end up doing dirty jobs in order to survive. The interview I did on Kawon Kim Park who is an Asian immigrant proved that most Asian immigrants will want to study in the USA but not work in the USA. She was certain that after school she wouldn’t want to work in the USA due to the high competition especially for the Immigrants. According to a report by the AAPI initiative, the average poverty level of Asian immigrants in USA is 12.6 which is below the average USA poverty level (AAPI initiative retrieved from http://www.whitehouse.gov/administration/eop/aapi/data/critical-issues). Such statistic creates an impression that life is difficult for Asian immigrants in the country. The statistics indicate that over 61% of the Asian immigrants

Monday, October 28, 2019

Data Collection Plan Essay Example for Free

Data Collection Plan Essay Abstract Postoperative Pulmonary complications (PPC) such as atelectasis, impaired gas exchange, pneumonia and acute respiratory failure (ARF) are not uncommon in patients undergoing major surgery and are a leading cause of increased patient morbidity, mortality and increased length of hospital stay (Yoder, Sharma, Hollingsworth, Talavera, Rice, 2013). Healthcare professionals are now expected to give patients verifiably effective treatments by implementing current evidence based practice (EBP). In order to do so, interventions to prevent PPCs must be investigated. The aim of this study was to evaluate the effectiveness of adding incentive spirometry (IS) to traditional postoperative chest physiotherapy (CPT) and respiratory care. Eighty patients between 30 and 50 year old who had undergone surgery participated in the study. Patients were divided into two groups: the intervention group where IS was used in addition to the traditional CPT, and the control group which included only traditional CPT. The results obtained in the investigation indicated that there were significant differences between both groups at the end of the study in terms of PPCs and hospital length of stay (LOS). Conclusion: Addition of IS to postoperative care helped in controlling PPCs. Keywords: postoperative pulmonary complication, incentive spirometer, chest physiotherapy, length of Stay Research Question In postsurgical patients, how does using incentive spirometer, compared to not using incentive spirometer, affect incidence of PPCs and hospital LOS? Hypothesis Because the risk for developing PPCs is not well studied specific numbers of occurrences are difficult to predict. However, it was hypothesized that patients who incorporated IS as part of their postoperative care would have a clinically significant decrease in the occurrence of PPCs and hospital LOS compared to those who did not incorporate IS into their postoperative care. Data Collection A quasi-experimental control trial was conducted from February 1, 2014 to May 31, 2014. The lead researcher, Adrienne Hinson, collected the data personally. During the four month study, eighty patients ranging in age from 30 to 50 years old who were undergoing surgery where the abdomen or chest was opened were selected randomly from the General Surgery Department at McLeod Regional Medical Center in Florence, SC. On sampling days, patients meeting the criteria were numbered chronologically based on their surgery time. For eighty consecutive business days, one of the patients was chosen randomly using a random numbers table created on Microsoft Excel. Patients who had recently been diagnosed with or treated for acute pulmonary complications, those who could not be instructed or supervised to assure appropriate use of the IS, and patients whose cooperation or comprehension was lacking were excluded from the study. All appropriate procedures were used to safeguard the rights of study participants. The study was externally reviewed by the hospital’s institutional review board before data collection began. Patients received verbal and written explanations of the study purpose and data collection procedures and after indicating willingness to participate in the study, voluntary informed consent was obtained (See Appendix A). Information included within the informed consent included participant status; participants were told which postoperative activities were routine, and which activities were being evaluated. Participants were informed that the data collected about them would be used for research purposes. The overall goals of the research, to evaluate to addition of IS to postoperative care, was described to patients. Participants were informed about which types of data would be collected, what procedures they would undergo, and how they were selected. The time frame of the commitment was defined as beginning on post-op day one and lasting until their follow up  visit after discharge. Information regarding funding was available to participants. All participants were educated on potential risks and benefits of participation. Finally, patients were assured that their privacy would be protected at all times and that they would be allowed to withdraw from the study at any point during their hospital stay (Polit Beck, 2012). The patients were deliberately placed into one of two experimental groups. Deliberate placement reduces confounding by ensuring the two groups were comparable when age, sex, smoking history, type of surgery and post-operative analgesia were compared. The control group consisted of 40 patients who underwent routine chest physiotherapy (CPT) postoperatively, as recommended by the Clinical Practice Guidelines set forth by The Agency for Healthcare Research Quality (2011). A physiotherapist supervised and assisted the treatment twice a day in the first two postoperative days and once a day from the third to the tenth days. During any session, the patients performed three to five deep breaths interspersed with periods of quiet breathing followed by two or three coughs or huffs with support from a pillow at least 10 times over a 15 minutes period. Additional techniques such as positioning and chest wall percussion were applied if breathing and coughing exercises alone were not effective in clearing excessive or retained pulmonary secretions. Patients were instructed to perform coughing and deep breathing exercises independently every hour while awake. The treatment group consisted of the remaining 40 patients who also followed the same Clinical Practice Guidelines but also received breathing exercise training with IS (Voldyne Volumetric manufactured by Sherwood Medical Company U.S.A.) In addition to the routine chest physiotherapy up to the tenth postoperative day. Application of breathing training with incentive spirometry was applied for five minutes, five times a day (El-Marakby et al., 2013). Monitoring began immediately postoperatively and continued until discharge. Hospital LOS was documented for each patient, along with whether or not the patient developed a PPC within 10 days of surgery. The researcher rounded on each hospitalized patient daily to ensure compliance and to update discharges and PPC diagnoses. In order to determine LOS, participant observation was used as a tool to collect data. LOS was calculated by subtracting day of admission from day of discharge. Date of admission was the date of surgery for all participants. Date of discharge was determined  by the surgical teams, who were blinded to the study and therefore measures are not likely to be influenced by reactivity (Polit Beck, 2012). PPCs were defined as any pulmonary abnormality that produced identifiable disease or dysfunction, was clinically significant, and adversely affected the postoperative clinical course (Hayden, Mayer, Stoller, 1995). Patients were monitored daily for 10 days for the diagnosis of a PPC. Given this definition, PPCs documented included atelectasis, pneumonia, acute respiratory failure, and exacerbation of COPD. Along with physical assessment and past history, biophysiological measures were used as data collection tools to aid in the diagnosis of PPCs (See Appendix C). Equipment and lab analysis were readily available and tests for biophysiological measures were completed by the appropriate staff at McLeod Regional Medical Center. Ordering tests and the interpretation of results was fulfilled solely by the healthcare providers as deemed necessary. The researchers were not responsible for diagnosing PPCs, but rather the observation and recording of data. Biophysiological measures for diagnosing acute respiratory failure include a low level of oxygen; a pulse oximetry falling below 80% saturation on room air or when arterial blood gas shows PaO2.

Saturday, October 26, 2019

OBriens Things They Carried Essay: Truth, Fiction, and Human Emotion

The Things They Carried: Truth, Fiction, and Human Emotion  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   There are many levels of truth in Tim O'Brien's The Things They Carried. This novel deals with story-telling as an act of communication and therapy, rather than a mere recital of fact. In the telling of war stories, and instruction in their telling, O'Brien shows that truth is unimportant in communicating human emotion through stories. O'Brien's writing style is so vivid, the reader frequently finds himself accepting the events and details of this novel as absolute fact. To contrast truth and fiction, the author inserts reminders that the stories are not fact, but are mere representations of human emotion incommunicable as fact. O'Brien's most direct discussion of truth appears in Good Form. He begins with, "It's time to be blunt," and goes on to say that everything in the book but the very premise of a foot soldier in Vietnam is invented. This comes as a shock after reading what seems to be a stylized presentation of fact. In the sequence of Speaking of Courage followed by Notes, O'Brien adds a second dimension of truth to a story so vivid that the reader may have already accepted it as the original truth. In Notes, O'Brien steps out of the novel and addresses the reader to discuss the character, Norman Bowker, and the formation and history of the previous story, Speaking of Courage. In a letter from Norman Bowker, Tim O'Brien is asked to write a story about his part in the war. In discussing this, O'Brien presents an elaborate picture of the story's development and the main character's real-life demise: "Speaking of Courage" was written in 1975 at the suggestion of Norman Bowker, who three years later hanged himself in the locker room of a YMC... ...O'Brien goes beyond the telling of war stories in The Things They Carried to say something larger about the art and purpose of story-telling. Contrasting truth and fiction, O'Brien shows that the truth cannot always communicate human emotion. O'Brien's personal guilt at seeing a man die from a grenade blast is real, and must be communicated as such in a story. Norman Bowker's guilt at seeing Kiowa sink into the muck leaves him with a sense of direct personal failure. By incorporating this sense of failure into fictional events, O'Brien is able to communicate the true human emotion behind the story, rather than just the facts. Above and beyond a simple set of war stories, The Things They Carried reduces fiction to the very heart of why stories are told the way they are. Works Cited: O'Brien, Tim. The Things They Carried.New York: Penguin Books USA Inc., 1990.   

Thursday, October 24, 2019

Ethnic entrepreneurs, ethnic precincts and tourism: The case of Sydney, Australia Essay

Australia, one of the most cosmopolitan of contemporary western societies, has a long history of immigrant entrepreneurship, with many ethnic groups significantly over-represented in entrepreneurial activities, particularly in the small business sector of the Australian economy. Immigrant enterprises, mainly small businesses, generate significant economic growth, employment opportunities and import export activity across a broad range of industries in Australia. The experiences of immigrant entrepreneurs in Australia vary considerably, with diversity in pathways to immigrant entrepreneurship in Australia evident for both male and female immigrant entrepreneurs. This means that `one size will not fit all, pointing to the need for a diverse, complex policy response to immigrant entrepreneurship in Australia today. In Australia, immigrants have a slightly higher rate of entrepreneurship (18.8%) than non immigrants (16.3%). However, some immigrant groups, such as the Koreans, have much higher rates of entrepreneurship compared to non-immigrants and other immigrant groups. In order to understand the dynamics of immigrant entrepreneurship (Waldinger et al., 2010), stressed the importance of understanding the interaction between the group characteristics of immigrant communities and the opportunity structure in their host country when they settled. This in turn helps explain the rates of entrepreneurship and the characteristics of immigrant enterprises. Light and Rosenstein (2009) developed the concept of group characteristics in more detail. Immigrants draw on ethnic resources, they argued, which include ‘ethnic ideologies, industrial paternalism, solidarity, social networks, ethnic institutions and social capital’. Immigrants also have access to class and other resources that they bring to entrepreneurship and to the ‘ethnic economy’ (Light and Gold 2010). Immigrant entrepreneurship continued to be a feature in Australia in the post-1945 period as Australia embarked on a large scale immigration program that delivered nearly 7 million immigrants, with immigrants a greater proportion of the Australian population than most other western nations (OECD 2011). The ethnic diversity of contemporary Australian society is reflected in the Australian small business sector. In Australia, as in other countries, restaurants, food and other retailing are areas of the economy with a strong immigrant presence (Collins and Low 2010). Australia is shaped by the intersection of a number of factors: ethnic resources and networks, class resources, regimes of regulation, inclusion/exclusion, opportunity, gender, radicalization and family. Collins and Low (2010) argued that while the international research rightly stressed the extent to which immigrant entrepreneurship is embedded in family relationships with immigrant women playing an important role in their husband’s businesses, it is important to recognize the many immigrant women themselves become entrepreneurs in their own right. One key fact that emerges from the Australian research is the increasing diversity of the paths to immigrant entrepreneurship (Collins 2009). Some immigrants arrive in Australia as successful business migrants with ample start-up capital. Other immigrants arrive with high professional and educational qualifications to enable them to fill labour shortages in the corporate sector, though minority immigrants often reach an ‘accent ceiling’ that constrains their promotion opportunities. Others tread the ‘traditional’ path from low-wage jobs to entrepreneurship. Finally, some immigrants see entrepreneurship as an alternative to unemployment and take advantage of federal government programs to assist the unemployed to establish business enterprise. The Australian research on immigrant entrepreneurship (Collins, 2009) shows that there is increasing diversity in the paths that new immigrants take to entrepreneurship: some were previously unemployed, while others were manual labourers before opening a small business. Some must attain university qualifications that are prerequisites for entering the professions (such as doctors, dentists, accountants and lawyers) and opening a private practice, others leave corporate jobs to become entrepreneurs, while still others, business migrants were already established as entrepreneurs before migrating to Australia. The Australian research also points to a diversity of class background among and between birthplace groups of immigrant entrepreneurs (Collins, 2011) and a great diversity in educational achievement. Australian immigrant enterprises are very diverse, and so policy is required to respond to that diversity. While many immigrant enterprises produce or sell ethnic products such as food, coffee or artifacts, many others do not. Immigrant entrepreneurs are spread across the economy, with businesses in the services sector of the economy, including retail, real estate, finance, media and tourism. Others are professionals such as doctors, dentists and architects who run their own private practices. The Federal Australian Government promotes immigrant entrepreneurship directly though it’s permanent and temporary immigration policy (Collins, 2011). Australia introduced an Entrepreneurial Migration Category in November 1976 to allow immigrant entrepreneurs with detailed business proposals and capital to enter Australia under the permanent migration programme as migrant settlers. Over the years this policy has been fine-tuned in the wake of the identification of anomalies in the programme. Evaluations of this programme suggest that it is largely successful. Today business owners, senior executives and investors can apply for a visa under the Business Skills category. The main problem appears to be in attracting a sufficient number of entrants under this category, with Australia facing strong competition from other Western countries, including Canada. In March 2003 three Business Skills Processing Centres were opened and a two-stage process was introduced, whereby business migrants are granted a Business Skills (Provisional) visa for four years. If they establish a business or maintain their legal investment over the four-year period they become eligible to apply for a Business Skills (Residence) visa, an entrepreneurial pathway to permanent residence in Australia. A direct permanent residence category is still available for high-calibre business migrants sponsored by State and Territory governments, known as the Business Talent visa. In addition to these immigration policy initiatives, a number of Federal Government agencies assist immigrant entrepreneurship, directly or indirectly. One Federal scheme, the New Enterprise Incentive Scheme (NEIS), was designed to assist cash-poor unemployed people in entering the setting-up phase of a business enterprise, allowing them to take advantage of business training and draw on future unemployment benefits during the period in which the business enterprise is being established. The State governments play a key role in the regulation of enterprises in Australia, including those owned by immigrants. These regulations relate to issues such as health and safety requirements and employment conditions, including wages, impacting on immigrant and non-immigrant entrepreneurs. For example, a decision in the 1980s to permit outdoor dining in the State of New South Wales meant that al fresco eating became possible for the first time. Today many immigrant enterprises are concentrated in the food industry, with ethnic restaurants and cafes, most with outdoor tables, in evidence across metropolitan and regional Australia. Ethnic precincts are key spatial sites though, significantly, not the only sites of the ethnic economy in the city (Collins, 2011). In central or suburban parts of the city, ethnic precincts are essentially clusters of ethnic or immigrant entrepreneurs in areas of the city that are designated as ethnic precincts by place marketers and Government officials. They are characterized by the presence of a substantial number of immigrant or ethnic entrepreneurs who populate the streets of the precinct selling food, goods or services to co-ethnics and non-co ethnics alike. Ethnic precincts come in a number of forms. Often they tend to be associated with one ethnic group, as evinced by districts. Each of these ethnic precincts has been developed with the financial and marketing support of local government. Ethnic festivals become key moments in promoting the precinct to a broader clientele, including tourists. Promotion of ethnic festivals is a key element of any strategy to promote immigrant entrepreneurship. Policies designed to develop and promote ethnic precincts (Collins and Kunz, eds,2010), the ethnic economy and urban ethnic tourism(Rath, ed, 2010) will, in turn, help the immigrant entrepreneurs whose small businesses are located in clusters in particular. The important growth in female immigrant entrepreneurship in Australia, like other countries, also suggests a need for policies to be sensitive to matters related to intersection of ethnicity and gender. This area requires further research in Australia. Moreover, minorities face barriers in respect to language difficulties and racism and prejudice, issues that do not confront non-immigrant entrepreneurs. References Collins, J and Low. A. (2010)â€Å"Asian female immigrant entrepreneurs in Small and Mediumsized Businesses in Australia†, Entrepreneurship & Regional Development, Volume 22 Issue 1, January 2010, pp 97-111. Collins, J. (2009), â€Å"Ethnic Diversity Down Under: Ethnic Precincts in Sydney†, International Journal of Diversity in Organisations, Communities and Nations, no. 4, pp. 1043-53. Collins, J. and Kunz, P. (2010), â€Å"Ethnic entrepreneurs, ethnic precincts and tourism: The case of Sydney, Australia† in Richards, G. (ed.), Tourism Creativity and Development, London and New York: Routledge, pp. 201-14. Collins, J. (2011), â€Å"Ethnic Diversity Down Under: Ethnic Precincts in Sydney†, International Journal of Diversity in Organisations, Communities and Nations, no. 4, pp. 1043-53. Collins, J. and Kunz, P. (2010), â€Å"Ethnic entrepreneurs, ethnic precincts and tourism: The case of Sydney, Australia† in Richards, G. (ed.), Tourism Creativity and Development, London and New York: Routledge, pp. 201-14. Light, I. and Rosenstein, C. (2009), Race, Ethnicity and Entrepreneurship in Urban America, Aidine de Gruyter, New York.Light, I. and Gold, S. J. (2010), Ethnic Economies, Academic Press, San Deigo.OECD (2010), Open for Business: Migrant Entrepreneurship in OECD Countries, OECD Publishing, Paris.OECD (2011), International Migration Outlook: SOPEMI 2011, OECD Publishing.http://dx.doi.org/10.1787/migr_outlook-2011-en Rath, J. (ed.) (2010), Tourism, Ethnic Diversity and the City, New York: Routledge. Stromback, T. and Malhotra, R. (1994), Socioeconomic Linkages of South Asian Immigrants with their Country of Origin, Canberra: Australian GovernmentPublishing Service. Rezaei (2011) Royal delicacies at peasant prices: cross-national differences, common grounds – towards an empirically supported theory of the informal economic activities ofmigrants. World Review of Entrepreneurship, Management and Sustainable Development, 2011, vol. 7, issue 2, pages 109-154 Waldinger, R., Aldrich, H., Ward, R. and Associates (2010), Ethnic Entrepreneurs – Immigrant Business in Industrial Societies, Sage, Newbury Park, London, New Delhi. Source document

Wednesday, October 23, 2019

Financial Forecasting Checkpoint

Financial Forecasting CheckPoint FIN/200 Axia College of University of Phoenix Write a 200- to 300-word explanation of the reasons the following types of companies would need a financial forecast: brand new company, family-owned company, and a long-standing corporation. The reason type of companies such as brand new companies, family-owned companies, and long-standing companies would need a financial forecast is to develop projected financial statements; a series of pro forma.The information developed by a series of pro forma provide a sort of estimate on inventory, payables, receivables as well as what would be required for profit and borrowing. A projected financial statement provides a kind of advantage in any of the companies listed above as it gives the firm an insight on operations. A pro forma would help guide companies in deciding how to best operate and succeed.When starting a brand new company a financial forecast is essential. A financial forecast would help a brand new co mpany decide on how much inventory would be needed, cost of start up and production, and how much capital is needed. Obtaining a financial forecast would also help guide a brand new company on how much profit the company can make, whether a bank loan would be needed to start up and how many individuals can be hired.Family-owned companies need financial forecast just as much as a brand new company. A family-owned company would need a financial forecast for obtaining information from the simplest of things like how much inventory is in stock, profit sharing, expected expenses and profit for the future. A family-owned company would need a financial forecast to also make good decisions on continuing a successful business, which department needs revamped or tweaked.It is essential for a family-owned company to obtain a financial forecast to also estimate whether sales income would be enough to cover expenses and whether cutbacks need to be made. A long-standing company, even though it ha s been in business for a long time (hence the phrase â€Å"long-standing†) needs a financial forecast for the same reasons a brand new company and a family-owned company needs it. A pro forma (financial forecast) would provide a long-standing company with estimated future profit, expenses, cash budgets, and sales income. A inancial forecast can also help guide a long-standing company in making decisions on things like increasing sales, whether advertising is needed and whether certain investments prove to be worth it. Although, a financial forecast is just basic estimation of what is to be expected in the future it provides essential information that could help guide any type of company in the right direction. Starting a brand new company, a family-owned company, and a long-standing company all have something in common: producing a successful company in all aspects.

Tuesday, October 22, 2019

Life and Work of Leonora Carrington, Activist and Artist

Life and Work of Leonora Carrington, Activist and Artist Leonora Carrington (April 6, 1917–May 25, 2011) was an English artist, novelist, and activist. She was part of the Surrealist movement of the 1930s and, after moving to Mexico City as an adult, became a founding member of Mexicos women’s liberation movement. Fast Facts: Leonora Carrington Known For: Surrealist artist and writerBorn: April 6, 1917 in Clayton Green, Clayton-le-Woods, United KingdomDied: May 25, 2011 in Mexico City, MexicoSpouse(s): Renato Leduc, Emericko WeiszChildren: Gabriel Weisz, Pablo WeiszNotable Quote: I didnt have time to be anyones muse... I was too busy rebelling against my family and learning to be an artist. Early Life Leonora Carrington was born in 1917 in Clayton Green, Chorley, Lancashire, England, to an Irish mother married to a wealthy Irish textile manufacturer. In a family of four children, she was the only daughter, alongside her three brothers. Although she was educated by excellent governesses and sent to good schools, she was expelled from two different schools for rebellious misbehavior. Eventually, Carrington was sent abroad to Florence, Italy, where she studied at Mrs. Penroses Academy of Art. When Carrington was ten, she first encountered Surrealist art in a gallery in Paris, which cemented her desire to pursue a career as an artist. Her father strongly disapproved, but her mother supported her. Although she was presented at court when she came of age, Carrington was mostly disinterested in the niceties of society. Newcomer to the Art World In 1935, Carrington attended the Chelsea School of Art in London for one year, but she then transferred to London’s Ozenfant Academy of Fine Arts (established by the French modernist Amà ©dà ©e Ozenfant), where she spent the next three years studying her craft. Her family was not openly opposed to her artistic pursuits, but by this point, they were not actively encouraging her either. Carringtons greatest champion and patron at this time was Edward James, the noted Surrealist poet and art patron. James bought many of her early paintings. Years later, he still supported her work, and he arranged a show for her work at  Pierre Matisses New York gallery in 1947. Relationship With Max Ernst At an exhibition in London in 1936, Carrington encountered the work of Max Ernst, a German-born Surrealist who was 26 years her senior. Ernst and Carrington met at a London party the following year and quickly became inseparable, both artistically and romantically. When they moved to Paris together, Ernst left his wife and moved in with Carrington, making a home in the south of France. Together, they supported each other’s art and even made works of art, such as quirky animal sculptures, to decorate their shared home. It was during this period that Carrington painted her first clearly Surrealist work, Self-portrait  (also called  The Inn of the Dawn Horse). Carrington depicted herself in dreamy white clothes and with loose hair, with a prancing hyena in front of her a rocking horse flying around behind her. She also painted a portrait of Ernst in a similar style. When World War II began, Ernst (who was German) was immediately treated with hostility in France. He was soon arrested by French authorities as a hostile foreign national and was released only because of interventions of several well-connected French and American friends. Things only got worse when the Nazis invaded France; they arrested Ernst again and accused him of creating â€Å"degenerate† art. Ernst escaped and fled to America with the help of art patron Peggy Guggenheim- but he left Carrington behind. Ernst married Peggy Guggenheim in 1941, and although their marriage soon fell apart, he and Carrington never rekindled their relationship. Institutionalization and Escape Terrified and devastated, Carrington fled Paris and headed to Spain. Her mental and emotional state deteriorated, and ultimately her parents had Carrington institutionalized. Carrington was treated with electroshock therapy and strong drugs. Carrington later wrote about her horrific experiences in the mental institution, which also reportedly included assault, abuse, and unsanitary conditions, in a novel, Down Below. Eventually, Carrington was released to the care of a nurse and moved to Lisbon, Portugal. In Lisbon, Carrington escaped the nurse and sought sanctuary in the Mexican embassy. Renato Leduc, a Mexican ambassador and friend of Pablo Picasso, agreed to help get Carrington out of Europe. The pair entered a marriage of convenience so that her path would be smoother as a diplomat’s wife, and they were able to escape to Mexico. Aside from a few journeys north to the United States, Carrington would spend most of the rest of her life in Mexico. Art and Activism in Mexico Carrington and Leduc divorced quickly and quietly in 1943. Over the next couple of decades, Carrington spent time in New York City as well as in Mexico, interacting with the art world at large. Her work was unusual among the Surrealist community in that she did not use the works of Freud as a major influence. Instead, she utilized magical realism and the idea of alchemy, often drawing on her own life for inspiration and symbolism. Carrington also went against the grain with regards to the Surrealists’ approach to female sexuality: she painted as she experienced the world as a woman, rather than the male-gaze filtered depictions of many of her counterparts. In the 1970s, Leonora became a voice for the women’s liberation movement in Mexico City. She designed a poster, called Mujeres conciencia, for their movement. In many ways, her art tackled concepts of gender identity and feminism, making her an ideal fit to work with their cause. Her focus was psychological freedom, but her work was primarily towards political freedom for women (as a means to this ultimate goal); she also believed in creating cooperative efforts between the movements in North America and Mexico. While Carrington was living in Mexico, she met and married the Hungarian-born photographer Emerico Weisz. The couple had two sons: Gabriel and Pablo, the latter of whom followed in his mother’s footsteps as a Surrealist artist. Death and Legacy Carringtons husband Emerico Weisz died in 2007. She survived him by about four years. After a battle with pneumonia, Carrington died in Mexico City on May 25, 2011, aged 94. Her work continues to be shown at exhibitions across the world, from Mexico to New York to her native Britain. In 2013, Carringtons work had a major retrospective at the Irish Museum of Modern Art in Dublin, and in 2015, a Google Doodle commemorated what would have been her 98th birthday. By the time of her death, Leonora Carrington was one of the last-surviving Surrealist artists, and undoubtedly one of the most unique. Sources Aberth, Susan. Leonora Carrington: Surrealism, Alchemy and Art. Lund Humphries, 2010.Blumberg, Naomi. â€Å"Leonora Carrington: English-Born Mexican Painter and Sculptor.† Encyclopaedia Britannica, https://www.britannica.com/biography/Leonora-Carrington.â€Å"Leonora Carrington.† National Museum of Women in the Arts, https://nmwa.org/explore/artist-profiles/leonora-carrington.

Monday, October 21, 2019

Essay about Cancer Meds ( pharm)

Essay about Cancer Meds ( pharm) Essay about Cancer Meds ( pharm) Cancer A.Biopsy Procedure 1. Liver: have patient lie on the affected side afterwards 2. Bone marrow: hold pressue to the site for 5-10 mintues *** Be sure to use a sterile dressing over the biopsy site B.Radiation 1. Internal Radiation : have private room, warn of exposure, encourage self care, wear film badge records exposure, have a lead container in the room. Visitors cannot stay more than 30 minutes or get closer than 6 feet. No visitor can be pregnant or under 16, Remain in position to avoid dislodging the implant 2. External Radiation: skin care with mild soap, water. Don’t apply powder, ointment, lotion or perfume to the site, do not remove radiation tattoos, avoid tight clothing, do not expose skin to sun or heat Questions 1. In which situation should the nurse intervene? a. A pt with internal radiation, who’s guest is 19 years old, sneezing standing 6 feet away. b. A pt with external radiation, who is wearing a hat to avoid sun exposure c. A UAP moving the patient with internal radiation around in bed to change the linens d. A pt with external radiation who takes a bath with mild soap ANSWER: C, you wouldn’t want to move a patient around with internal radiation because it could dislodge the implant. 2. Which statement below indicates the nurse knows proper procedure after a biopsy? a. I will apply pressure to the site of a liver biopsy for 5 minutes b. I will lie a patient with a bone marrow biopsy and the affected side c. I will avoid placing any pressure on the biopsy site d. I will use a sterile dressing to cover the site. ANSWER : D Male Cancers 1. Prostate Cancer What you will see? Painless hematuria, urinary hesitancy, recurrent bladder infections, urinary retention, painful ejaculation with elevated BUN/ Creatine. Blood or bacteria in urine and a PSA above 4ng/ml Interventions: administer hormone therapy, ( Luprone, Flutaminde). use the PCA by elevating the scrotum and penis while applying ice, SCD, antiembolism stockings, instruct client on cath care. Give antispasmodics and monitor I&O Radical prostatectomy Surgery 1. Why: Prostate cancer 2. Pre- procedure: administer meds, prepare client, ensure full understanding, educate regarding complications like irreversible erectile dysfunction and refractory urinary incontinence 3. Post- Procedure: care for them similarly to an abdominal surgery, give pain meds, cath care, avoid strenuous activity avoid tub baths for 2-3 weeks. Questions Which complications are common for a radial prostactomy surgery? a. Constipation b. Erectile dysfunction c. Refractory urinary incontinence d. Pelvic pain Answers: B &C What statement made by a patient after a radial prostatectomy should the nurse correct? a. â€Å" I can’t wait to go home and take a long bath† b. â€Å" Ill need to avoid strenuous activity like weight lifting† c. â€Å" I need to avoid showers for 2-3 weeks† Answers: A &C, you want to avoid tub baths for 2-3 weeks not showers Testicular Cancer What you will see: swelling or lumps in the testes, signs of metastisis like abd masses, back pain and gynecomastia. Interventions To detect early: perform testicular self exams every month after a shower Before surgery: bank sperm After surgery: treat pain, no heavy lifting or strenuous activity for specified period Meds 1. Alkalating agents a. Use: cause cell death or mutation of malignant growth b. s/e: tremors, muscular twitching, confusion, n&v, bone marrow depression, sterility, alopecia, cystitis, cancer acute leukemia c. important info: talk to provider before receiving vaccination, report bleeding or infection, a diet low in purines is recommended, good oral hygiene with soft toothbrush, DO NOT use toothbrush when platelet count is 50,000. Reduce n & v by eating small meals and refer for dietary consult d. drugs: busulfar, carboplatin, carmustine, cisplastin, ifofamide, lomustine, mechlorethamine, melphalan,